Individual
TYLER M EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
20474 OLD SCENIC HIGHWAY, ZACHARY, LA 70791
(225) 654-1124
(225) 654-7079
Mailing address
PO BOX 1160, ZACHARY, LA 70791
(225) 654-1124
(225) 654-7079
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
324079
LA
Other
Enumeration date
12/20/2020
Last updated
08/05/2024
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